背景:抗生素耐药性对现代医学构成了重大的全球健康威胁。未来接受培训的医生的意识和态度可能在解决这一重要问题方面发挥关键作用,影响耐药性的控制,促进负责任的抗生素管理。这项研究旨在评估知识,态度,关于三级护理教学医院医学实习生抗生素使用和抗菌素耐药性的实践。
方法:对来自多个医疗机构的123名MBBS实习生进行了基于问卷调查的横断面研究。实习生的知识,态度,记录了自我报告的抗生素使用实践.
结果:根据123名参与者的调查答复,116人(94.31%)意识到滥用抗生素的不利影响,认识到无效治疗的风险,副作用增加,长期患病,细菌抗性,和更高的医疗费用。大多数(106,86.18%)承认治疗抗生素耐药性感染的挑战,和69(56.10%)正确确定细菌不是普通感冒和流感的原因。大多数(115,93.5%)认为抗生素耐药性是一个重要的全球健康问题。在态度上,90%(73%)的人认为感冒应避免使用抗生素,但是80人(65%)认为他们加速了发烧的恢复。只有48人(39%)认识到抗生素有助于耐药性,而102人(83%)同意跳过剂量会促进耐药性。大多数支持合理使用抗生素的医院政策(118,96%)和课程(112,91%)。关于实践,12名(9.76%)实习生承认过度使用抗生素,68(55.28%)在开始使用抗生素之前咨询了医生,和87(70.73%)检查的到期日。此外,62(50.41%)首选抗生素治疗咳嗽和咽喉痛症状。
结论:这项研究强调,虽然实习生对滥用抗生素的危害有很好的认识和认识,他们没有将这些知识转化为实践。这表明理解和应用之间的脱节。因此,有必要在医学课程中增加合理的抗生素处方和管理模块,以确保知识有效地转化为不断变化的信念和实践。
BACKGROUND: Antibiotic resistance presents a significant global health threat to modern medicine. The awareness and attitude of future doctors undergoing training may play a crucial role in addressing this important issue, influencing the control of resistance and promoting responsible antibiotic stewardship. This study aimed to estimate knowledge, attitudes, and practices regarding antibiotic usage and antimicrobial resistance among tertiary care teaching hospital medical
interns.
METHODS: The questionnaire-based cross-sectional study was conducted on 123 MBBS
interns from multiple medical institutions. Intern\'s knowledge, attitudes, and self-reported practices regarding antibiotic use were recorded.
RESULTS: Based on survey responses from 123 participants, 116 (94.31%) were aware of the adverse effects of indiscriminate antibiotic use, recognizing the risks of ineffective treatment, increased adverse effects, prolonged illness, bacterial resistance, and higher medical costs. Most (106, 86.18%) acknowledged the challenges of treating antibiotic-resistant infections, and 69 (56.10%) correctly identified that bacteria are not a cause of the common cold and flu. Most (115, 93.5%) recognized antibiotic resistance as a significant global health problem. In attitude, 90 (73%) believed antibiotics should be avoided for colds, but 80 (65%) thought they hastened fever recovery. Only 48 (39%) recognized that antibiotics contribute to resistance, while 102 (83%) agreed skipping doses fosters resistance. Most support hospital policies (118, 96%) and curriculum courses (112, 91%) for rational antibiotic use. Regarding practice, 12 (9.76%)
interns admitted to overusing antibiotics, 68 (55.28%) consulted a doctor before starting antibiotics, and 87 (70.73%) checked expiry dates. Additionally, 62 (50.41%) preferred antibiotics for cough and sore throat symptoms.
CONCLUSIONS: The study highlights that while
interns have a good knowledge and awareness of the harms of antibiotic misuse, they are not translating this knowledge into practice. This indicates a disconnect between understanding and application. Therefore, there is a need to add a rational antibiotic prescription and stewardship module to the medical curriculum to ensure that knowledge is effectively translated into changing beliefs and practices.